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Consult Request Guidelines
for CSF Leak
Suggested Pre-Referral Evaluation and Management Guidelines
Suggested Additional Test/Management Prior to Specialty Visit
Consider Stealth high resolution protocol maxillofacial CT scan
If possible, obtain sample of nasal discharge for Beta-2 Transferrin testing
Patient Education/Information (includes preps)
Within 1 week
How to Get Results to Consultant
UMHS Patients: MiChart
External Patients: hand carry reports/records/films to visit
Clinic Contact Information
Clinic Location Sites
Michigan Sinus Center at Livonia Center for Specialty Care
Endoscopic Sinus Surgery at Taubman Health Care Center
UM Consulting Physician
Melissa Pynnonen, M.D.
Jeffrey Terrell, M.D.
Mark A Zacharek, M.D.